Provider Demographics
NPI:1730208117
Name:LEPKOWSKI, MEGHAN ELIZABATH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ELIZABATH
Last Name:LEPKOWSKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17117 W 9 MILE RD
Mailing Address - Street 2:SUITE 646
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4602
Mailing Address - Country:US
Mailing Address - Phone:248-423-1728
Mailing Address - Fax:248-423-1734
Practice Address - Street 1:17117 W 9 MILE RD
Practice Address - Street 2:SUITE 646
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4602
Practice Address - Country:US
Practice Address - Phone:248-423-1728
Practice Address - Fax:248-423-1734
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL7273041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP08950001Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE